Amy E Mutch, CRNP | |
711 Maiden Choice Ln, Catonsville, MD 21228-3632 | |
(410) 242-5602 | |
(410) 242-1756 |
Full Name | Amy E Mutch |
---|---|
Gender | Female |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 711 Maiden Choice Ln, Catonsville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093907982 | NPI | - | NPPES |
419000900 | Medicaid | MD | |
KG01ER-686115-01 | Other | CAREFIRST BCBS OF MD | |
0024 | Other | BCBS OF DC | |
960702100 | Medicaid | MD | |
8300978 | Other | EVERCARE | |
686115-01 | Other | BCBS OF MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | R095947 (Maryland) | Primary |
Entity Name | Erickson Health Medical Group Of Maryland, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598816449 PECOS PAC ID: 2860304136 Enrollment ID: O20080528000404 |
Mailing Address | Practice Location Address |
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Amy E Mutch, CRNP 5525 Research Park Dr Fl 4, Baltimore, MD 21228-4873 Ph: (410) 247-5602 | Amy E Mutch, CRNP 711 Maiden Choice Ln, Catonsville, MD 21228-3632 Ph: (410) 242-5602 |
Dr. Monica Maria Stewart, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 Geipe Rd, Ste 200, Catonsville, MD 21228 Phone: 410-744-0661 Fax: 410-744-8036 | |
Dr. Raafat Y Girgis, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 724 Maiden Choice Ln, Suite 201, Catonsville, MD 21228 Phone: 410-744-1101 Fax: 410-744-1186 | |
Cho C Maung, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 516 N Rolling Rd, Ste 301, Catonsville, MD 21228 Phone: 410-788-6603 Fax: 410-788-6601 | |
Quang Ngoc Tu, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Wade Ave, Catonsville, MD 21228 Phone: 410-402-6000 Fax: 410-402-7997 | |
Bilal Hasan, MBBS Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Geipe Rd, Catonsville, MD 21228 Phone: 410-744-0661 Fax: 410-744-8036 | |
Dr. James Willard King, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 5409 Jacks Ct, Catonsville, MD 21228 Phone: 410-370-2243 | |
Dr. Khin Ruppa Waddy Maung, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 N Rolling Rd, Catonsville, MD 21228 Phone: 410-744-8822 Fax: 410-744-5117 |